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先天性小肾脏单输尿管异位开口的诊断与治疗(附七例报告)

Congenital dysplastic kidney with single ureter ectopia (report of 7 cases)

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【作者】 申鹏飞齐范张晓波周芳坚谢志光

【Author】 Shen Pengfei ,Qi Fan,Zhang Xiaobo,et al. Departmemt of Urology,Xiangya Hospital,Hunan Medical University,Changsha 410008

【机构】 湖南医科大学湘雅医院泌尿外科

【摘要】 报告7例先天性小肾脏单输尿管异位开口的诊断与治疗。7例均为女性,年龄3.2~14.0岁,6例异位开口于阴道,1例开口于尿道。B超、IVU均误诊为先天性孤肾,3例作CT检查仅1例发现囊样变小肾脏,CDI检查4例均获确诊,7例均行发育不良肾切除而治愈。对其发病情况、胚胎发生学、诊断与治疗进行了讨论,认为CDI是诊断重要手段,对发育不良小肾脏者肾切除为首选治疗。

【Abstract】 cases of congenital dysplastic kidney with single ureter ectopia were presented.All the patients were female with the age ranged from 3.2 to 14.Vaginal ectopic ureter was observed in 6 and urethral ectopic ureter in 1.Ultrasonography and IVU have been carried out and the condition was misdiagnosed as a solitary kidney in all.CT was performed in 3 and a small dysplastic kidney was discovered in one case only while a dysplastic kidney has been precisely located and diagnosed by color doppler imaging in all the 4 cases examined.Nephrectomy was carried out in all with satisfactory result .The incidence, pathogenesis,diagnosis and treatment of a dysplastic kidney with ureter ectopia were discussed .The important role of color doppler imaging in the diagnosis and localization of a dysplastic kidney was emphasized.

【关键词】 发育不良
【Key words】 Kidney Dysplastic
  • 【文献出处】 中华泌尿外科杂志 ,CHINESE JOURNAL OF VROLOGY , 编辑部邮箱 ,1997年08期
  • 【分类号】R692.1
  • 【被引频次】7
  • 【下载频次】36
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